The Factors for the Aggression in Patients with On-Line Game Addiction : Behavioral Inhibition/Activation System and Comorbid Disease

Jeongha Park; Young Sik Lee; Bung-Nyun Kim; Jae Hoon Cheong; Doug Hyun Han

doi:10.4306/jknpa.2013.52.2.84

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Park, Lee, Kim, Cheong, and Han: The Factors for the Aggression in Patients with On-Line Game Addiction : Behavioral Inhibition/Activation System and Comorbid Disease

Original Article

Journal of Korean Neuropsychiatric Association

Journal of Korean Neuropsychiatric Association 2013; 52(2): 84-90.

Published online: 31 March 2013

DOI: https://doi.org/10.4306/jknpa.2013.52.2.84

The Factors for the Aggression in Patients with On-Line Game Addiction : Behavioral Inhibition/Activation System and Comorbid Disease

Jeongha Park, MD¹, Young Sik Lee, MD, PhD¹, Bung-Nyun Kim, MD, PhD², Jae Hoon Cheong, PhD³, Doug Hyun Han, MD, PhD¹

¹Department of Psychiatry, Chung-Ang University College of Medicine, Chung-Ang University Hospital, Seoul, Korea.

²Department of Psychiatry, Seoul National University College of Medicine, Seoul, Korea.

³Uimyung Research Institute for Neuroscience, Samyook University, Seoul, Korea.

Address for correspondence: Doug Hyun Han, MD, PhD. Department of Psychiatry, Chung-Ang University, College of Medicine, Chung-Ang University Hospital, 102 Heukseok-ro, Dongjak-gu, Seoul 156-755, Korea. Tel +82-2-6299-3132, Fax +82-2-6299-1114, hduk@yahoo.com

Received 3 January 2013 Revised 13 January 2013 Accepted 7 February 2013

Abstract

Objectives

Based on the debate between on-line game addiction and aggressive behaviors view, the aim of this study was to investigate the factors for aggression in patients with on-line game addiction.

Methods

A total of 107 adolescent patients with on-line game addiction were enrolled in an online game clinic and research center, OO hospital. In order to rule out psychiatric Axis I comorbidity, all participants were interviewed by a psychiatrist. In addition, their symptoms were assessed using the Young Internet Assessment Scale-Korean (YIAS-K), Korean Attention-Deficit Hyperactivity Disorder (ADHD) Rating Scale, Child depression index, Aggression scale extracted from Korean child behavior checklist, and Behavioral inhibition system (BIS)/Behavioral activation system (BAS). The participants were classified according to three groups; pure on-line game addiction group (pure-Game), on-line game addiction with attention-deficit hyperactivity syndrome (ADHD-Game) group, and on-line game addiction with depression group (Dep-Game).

Results

Thirty seven subjects in the pure-Game group, 53 subjects in the ADHD-Game group, and 39 subjects in the Dep-Game group showed significant differences in severity of on-line game addiction and aggression. Both the ADHD-Game and Dep-Game groups showed higher YIAS-K and aggression scale scores, compared to the pure on-line game addiction group. Aggression scale showed positive correlation with BAS-drive in the ADHD-Game group. Aggression also showed positive correlation with BIS in the Dep-Game group.

Conclusion

The current results suggested that the comorbidity of online game addiction would be a critical factor in aggression and impulsivity in patients with on-line game addiction.

Keywords: On-line game addiction, Aggression, ADHD, Depression, BIS/BAS

Figures and Tables

Fig. 1

The correlation between aggression and behavioral inhibition/activation system. A : The correlation between aggression and Behavioral Activation System (BAS)-drive, r=0.59, p<0.01. B : The correlation between aggression and Behavioral Inhibition System (BIS), r=0.58, p<0.01.

Table 1

Demographic features of the study sample

Post hoc ^*: P> A=D, ^†: A>P, ^‡: A=D>P, ^§: A>P. ADHD : Attention-deficit hyperactivity disorder, BIS : Behavioral inhibition system, BAS : Behavioral activation system, YIAS : Young Internet Addiction Scale, RPG : Role playing game, RTS : Real time strategy, FPS : First person shooting

Table 2

Factors for aggression

^*: Statistically significant, dependent variable : general aggression scale score. BIS : Behavioral inhibition system, BAS : Behavioral activation system, YIAS : Young Internet Addiction Scale, RPG : Role playing game, RTS : Real time strategy, FPS : First person shooting

Notes

The authors have no financial conflicts of interest.

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